经曰∶少阳所至为涌呕。又曰∶春伤于风，夏生飧泄，其证先伤乳食，后感风邪，乃致脾胃受伤，吐泻不止，
渐至遍身四肢口鼻俱冷，手足微掣，昏睡露睛。盖小儿全赖乳食以为命，吐多则乳食不入，泻多则乳食不藏，吐
则伤气，泻则伤血，乳食既绝，气血复伤，速救真元，以免竭脱。
六君子汤 治小儿吐泻之后，脾胃大伤；或大病之后，不思乳食；一切久病中气虚寒，并皆治之。
官拣参（一钱） 漂白术（二钱） 白云苓（一钱五分） 法半夏（五分） 真广皮（五分） 炙甘草（一钱）
四肢厥冷，加炮姜，甚者，加附子五分；手足搐掣，加青化桂七分，钩藤一钱。
上作一剂，煨姜三片，红枣三枚，早米一撮，水煎，温服。
理中汤 方见卷二乳子伤寒证治。
（幼科以此为急惊，故详辨明之）
张景岳曰，小儿忽被大惊，最伤心胆之气。《内经·口问篇》曰∶大惊卒恐，则气血分离，阴阳破散，经络
厥绝，脉道不通，阴阳相逆，经脉空虚，血气不调，乃失其常。此《内经》概言受惊之病有如此，矧小儿气血
尤非大人之比。若受大惊卒恐，则真神气失散，愦乱不堪，尚何实邪之有？斯时也，收复正气，犹恐不暇，顾可
复为清散耶！即如朱砂、琥珀之类，不过取其镇坠之意，亦非救本之法。今幼科诸书，皆以大惊之证，例作急
惊，误亦甚矣。不知急惊由于风热，慢惊由于脾肾之虚，皆不必由惊而得（余之千言万语辟除惊风，只消景岳二十
三字便以道尽。后贤若肯于此数语体认，更不必予之琐琐于斯也。）而此以大惊致困者，本乎心胆受伤，神气陡
离之病，当以收复神气为主。宜秘旨安神丸、团参散、独参汤之类，加金银等物煎服之。
《黄帝内经》说：少阳经气异常会导致呕吐。又说：春天感受风邪，到了夏天会产生完谷不化的泄泻（飧泄）。其病证是先损伤了乳食，后感受了风邪，从而导致脾胃受伤，呕吐和腹泻不止，逐渐发展到全身四肢以及口鼻都发冷，手足轻微抽搐，昏睡且眼睛半睁露出眼白。因为小儿完全依赖乳食来维持生命，呕吐多则乳食无法进入体内，腹泻多则乳食无法固摄在体内，呕吐会损伤气，腹泻会损伤血，乳食既然断绝，气血又受损伤，必须迅速救助真元之气，以免发生衰竭脱失。
六君子汤 治疗小儿在吐泻之后，脾胃受到严重损伤；或者大病之后，不想吃奶进食；一切久病导致中气虚弱寒凉的情况，都适用此方治疗。
处方组成：人参（一钱），炒白术（二钱），茯苓（一钱五分），法半夏（五分），陈皮（五分），炙甘草（一钱）。
若出现四肢厥冷，加入炮姜；病情严重的，加入附子五分；若出现手足抽搐，加入肉桂七分，钩藤一钱。
以上药材为一剂，加煨姜三片，红枣三枚，早米一小撮，用水煎煮，温服。
理中汤 方剂见卷二“乳子伤寒证治”章节。
（儿科医生常将此症误认为急惊风，所以详细辨别说明）
张景岳说，小儿突然遭受大惊，最易损伤心胆之气。《黄帝内经·口问篇》说：突然的大惊或恐惧，会导致气血分离，阴阳破裂散乱，经络之气断绝，脉道不通，阴阳逆乱，经脉空虚，血气不调，从而失去常态。这是《黄帝内经》概括地讲述受惊导致的病症有如此情况，何况小儿的气血更不同于成年人。如果遭受大惊或突然的恐惧，那么真元和神气就会失散，精神混乱不堪，哪里还有实邪存在呢？在这个时候，收复正气尚且来不及，怎么还可以再用清热发散的方法呢！就像朱砂、琥珀这类药物，不过是取其镇坠安神的意图，也不是救治根本的方法。现在的儿科书籍，都将大惊的病症，一概当作急惊风来处理，错误也很严重了。不知道急惊风是由于风热引起的，慢惊风是由于脾肾虚弱引起的，都不一定是由惊骇而得的（我千言万语辟除惊风的说法，只需张景岳这二十三个字就能说尽。后世的贤者如果能在此数语中体悟认识，也不必再让我在这里琐碎啰嗦了。）而这种因大惊导致困顿的病症，根本在于心胆受伤，神气突然离散的病证，应当以收复神气为主。适宜使用秘旨安神丸、团参散、独参汤之类的方剂，加入金银等物煎服。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When Shaoyang (Lesser Yang) qi arrives, it manifests as vomiting and regurgitation." It also states: "If wind is injured in spring, sunxi diarrhea (diarrhea with undigested food) arises in summer." The syndrome begins with injury to milk and food, followed by contraction of wind pathogen, thereby damaging the Spleen and Stomach, leading to incessant vomiting and diarrhea. Gradually, coldness spreads to the entire body, limbs, mouth, nose, and nostrils; the hands and feet exhibit slight twitching; the child sleeps deeply with eyes half-open (exposing the sclera). Since infants rely entirely on milk and food for life, excessive vomiting prevents intake, while excessive diarrhea prevents retention. Vomiting injures Qi, and diarrhea injures Blood. Once milk and food are exhausted, and Qi and Blood are further damaged, one must urgently rescue the True Yuan (Original Qi) to avoid exhaustion and collapse.
Liu Junzi Tang (Six Gentlemen Decoction) treats severe damage to the Spleen and Stomach after vomiting and diarrhea in children; or loss of appetite for milk and food after a major illness; and all chronic conditions involving deficiency-cold of the Middle Jiao (Middle Burner).
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 2 qian), Fuling (Poria, 1.5 qian), Banxia (Pinelliae Rhizoma, processed, 0.5 qian), Chenpi (Citri Reticulatae Pericarpium, 0.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian).
For cold extremities (Jue Leng), add Jiangtan (Zingiberis Rhizoma Preparatum); for severe cases, add Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 qian). For twitching of hands and feet, add Rougui (Cinnamomi Cortex, 0.7 fen), Gouteng (Uncariae Ramulus cum Uncis, 1 qian).
Take as one dose, with Sanjiang (Zingiberis Rhizoma, roasted), three red dates, and a pinch of early rice. Decoct in water and take warm.
Lizhong Tang (Regulate the Middle Decoction) - See Volume II, "Treatment of Cold Damage in Infants."
(Pediatricians often mistake this for Ji Jing Feng [Acute Convulsion], hence the detailed differentiation.)
Zhang Jingyue stated: "Sudden great fright most easily damages the Qi of the Heart and Gallbladder in children." The *Huangdi Neijing · Kouwen Chapter* states: "Sudden great fright or terror causes separation of Qi and Blood, dispersion of Yin and Yang, severance of meridians, blockage of pulse pathways, reversal of Yin and Yang, emptiness of meridians, disharmony of Qi and Blood, resulting in loss of normal function." This is what the *Neijing* generally describes regarding diseases caused by fright. How much more so for children, whose Qi and Blood differ significantly from adults? If subjected to sudden great fright or terror, the True Shen (Spirit) and Qi will scatter, causing extreme mental confusion. In such a state, where could there be any Excess pathogen? At this time, even rescuing the Correct Qi may prove insufficient; how can one possibly use clearing and dispersing methods again! Herbs like Zhusha (Cinnabaris) and Hupo (Succinum), merely serve the purpose of sedation and anchoring, but they are not methods to treat the root cause. Current pediatric texts erroneously categorize all cases of great fright as Ji Jing Feng (Acute Convulsion), which is a significant error. One should understand that Ji Jing Feng arises from Wind-Heat, while Man Jing Feng (Chronic Convulsion) arises from Spleen-Kidney deficiency; neither necessarily results from fright. (My thousands of words refuting 'Convulsion due to Fright' are fully summarized in Zhang Jingyue's twenty-three characters. If later scholars can comprehend these few sentences, my tedious elaboration here would be unnecessary.) This condition, brought about by great fright, stems fundamentally from injury to the Heart and Gallbladder and the sudden detachment of Spirit and Qi. Treatment should focus primarily on recovering Spirit and Qi. Suitable formulas include Mizhi Anshen Wan (Secret Instruction Calming Spirit Pill), Tuanshen San (Round Ginseng Powder), and Dushen Tang (Single Ginseng Decoction), decocted with Silver and Gold substances.